Provider Demographics
NPI:1528194446
Name:GUNN, DAN GROVER (DDS)
Entity Type:Individual
Prefix:
First Name:DAN
Middle Name:GROVER
Last Name:GUNN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 HIGH MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5172
Mailing Address - Country:US
Mailing Address - Phone:713-305-8590
Mailing Address - Fax:
Practice Address - Street 1:1454 CAMPBELL RD
Practice Address - Street 2:STE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4604
Practice Address - Country:US
Practice Address - Phone:713-722-8400
Practice Address - Fax:713-722-8441
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10406122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist